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Transferring Stroke Knowledge from Children to Parents: A Systematic Review and Meta-Analysis of Community Stroke Educational Programs
The purpose of this systematic review and meta-analysis on child-to-parent communication of stroke information (Child-Mediated Stroke Communication, CMSC) is to provide the highest levels of evidence supporting the role of this approach in community education.
Source: Journal of Stroke and Cerebrovascular Diseases - August 6, 2018 Category: Neurology Authors: Daudet Ilunga Tshiswaka, Laura E. Sikes, Juliet Iwelunmor, Gbenga Ogedegbe, Olajide Williams Source Type: research

Evaluating the Effect of Comprehensive Intervention on Cerebro-Vascular Function in Population at High Risk of Stroke
Background: Today there exists few intervention researches on cerebro-vascular function in populations at high risk of stroke in China. Methods: Patients more than 40 years old, with at least 1 of stroke risk factors were recruited from outpatient department in 3 hospitals. A quasi-experimental design was performed by assigning participants into 3 groups: comprehensive intervention group, health education group, and control group. Participants in the control group received no intervention but were informed of risk factors of stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 8, 2019 Category: Neurology Authors: Xiangxiang Liu, Yaohua Gu, Yuting Zhang, Yanan Zhang, Xiaodong Tan Source Type: research

Virtual rounding in stroke care and neurology education during the COVID-19 pandemic - a residency program survey
During the coronavirus disease 2019 (COVID-19) pandemic, we instituted virtual inpatient stroke rounds and acute stroke evaluations via telemedicine in the emergency department. We sought to explore trainees ’ and experienced providers’ views on stroke care and education.
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2021 Category: Neurology Authors: Murali K. Kolikonda, Elena Blaginykh, Peter Brown, Shivakrishna Kovi, Lucy Q. Zhang, Ken Uchino Source Type: research

Temporal Trends of Emergency Department Arrival Times after Acute Ischemic Stroke: a Population-Based Study (S21.006)
CONCLUSIONS: We found that IS patients arrived at progressively later times from 1993/4-2010. More research is needed to determine the reasons for delayed arrival to medical attention, since time from onset dominates the exclusion of patients from rt-PA. Study Supported by: Disclosure: Dr. Katz has nothing to disclose. Dr. Khoury has nothing to disclose. Dr. Alwell has nothing to disclose. Dr. Moomaw has received research support from the National Institutes of Health. Dr. Kissela has received personal compensation for activities with Allergan, Inc., AbbVie, and Reata Pharmaceuticals. Dr. Flaherty has received personal com...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Katz, B., Khoury, J., Alwell, K., Moomaw, C., Kissela, B., Flaherty, M., Woo, D., Adeoye, O., Khatri, P., Ferioli, S., Mackey, J., Martini, S., De Los Rios La Rosa, F., Kleindorfer, D. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

The Effect of a Brief Intervention for Patients with Ischemic Stroke: A Randomized Controlled Trial
Depression and anxiety are common after stroke. There is inconclusive evidence of the benefit of psychotherapy for poststroke depression and anxiety. Here, we used a brief intervention, Neuro-Linguistic Programming (NLP) brief therapy plus health education, to evaluate the changes in patients with ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2015 Category: Neurology Authors: Yuehua Peng, Yun Lu, Weiquan Wei, Jincong Yu, Dongming Wang, Yang Xiao, Jinzhi Xu, Zengzhen Wang Source Type: research

Neurothrombectomy trial results: stroke systems, not just devices, make the difference
The overwhelming benefit demonstrated in the four recent randomized trials comparing intra‐arterial therapies to medical management alone will have a transformative effect on the emergent management of strokes throughout the world. New generation neurothrombectomy devices were critical to trial success, but not the sole driver of patient outcomes in these trials. Patients in the positive trials were treated at hospitals with complex, efficient, resource‐rich, team‐based stroke systems in place. To ensure attainment of trial results in actual practice, patients should receive treatment at facilities certified as havin...
Source: International Journal of Stroke - September 24, 2015 Category: Neurology Authors: J. Mocco, Kyle M. Fargen, Mayank Goyal, Elad I. Levy, Peter J. Mitchell, Bruce C. V. Campbell, Charles B. L. M. Majoie, Diederik W. J. Dippel, Pooja Khatri, Michael D. Hill, Jeffery L. Saver Tags: Leading opinion Source Type: research

Early Emergency Medical Service Calls for Stroke: Was the Long-Term Education Program Based on the Experience of West Pomerania Successful?
Our objectives are to investigate whether the percentage of early emergency calls for stroke had increased and to assess current factors determining the time of deciding to seek medical help in the event of early stroke symptoms.
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2015 Category: Neurology Authors: Marta Masztalewicz, Przemysław Nowacki, Dariusz Kotlęga, Anna Bajer-Czajkowska Source Type: research

Spanish Version of the National Institutes of Health Stroke Scale: Awareness and Use in the United States. A Survey Study (P6.023)
Conclusion: Neurology and Emergency medicine training programs are generally not aware of the availability of the NIHSS Spanish version. There is a need to increase awareness and to promote the use of the Spanish version of the NIHSS and to address the validation of its use by interpreters given the large and expected increase in the population of Hispanics.Disclosure: Dr. Villalobos has nothing to disclose. Dr. Barnes has nothing to disclose. Dr. Maud has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Piriyawat has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Cruz-Flores has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Villalobos, E., Barnes, S., Maud, A., Qureshi, I., Piriyawat, P., Rodriguez, G., Cruz-Flores, S. Tags: Ischemic Stroke Diagnosis Source Type: research

A call for formal telemedicine training during stroke fellowship
During the 20 years since US Food and Drug Administration approval of IV tissue plasminogen activator for acute ischemic stroke, vascular neurology consultation via telemedicine has contributed to an increased frequency of IV tissue plasminogen activator administration and broadened geographic access to the drug. Nevertheless, a growing demand for acute stroke coverage persists, with the greatest disparity found in rural communities underserved by neurologists. To provide efficient and consistent acute care, formal training in telemedicine during neurovascular fellowship is warranted. Herein, we describe our experiences in...
Source: Neurology - May 8, 2016 Category: Neurology Authors: Jagolino, A. L., Jia, J., Gildersleeve, K., Ankrom, C., Cai, C., Rahbar, M., Savitz, S. I., Wu, T.-C. Tags: All Health Services Research, All Cerebrovascular disease/Stroke, All Education CONTEMPORARY ISSUES: INNOVATIONS IN EDUCATION Source Type: research

Developing a Family of Visual Decision Aids for Intravenous and Endovascular Reperfusion Therapies for Acute Ischemic Stroke (S25.006)
Conclusions:Personograph visual decision aids are a promising approach to rapidly educating patients, family, and healthcare providers on the benefits and risks of the major reperfusion therapies for acute ischemic stroke.Disclosure: Dr. Tokunboh has nothing to disclose. Dr. Vales Montero has nothing to disclose. Dr. Zopelaro has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Gonzalez has received research support from NIH. Dr. Starkman has received research support from the National Institute of Health, Stryker, Biogen IDEC, Neuravi, Genentech, Covidien, and Astra-Zeneca. Dr. Szeder has nothing to disclose. ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Tokunboh, I., Montero, M. V., Zopelaro, M., Sharma, L., Gonzalez, N., Starkman, S., Szeder, V., Jahan, R., Liebeskind, D., Saver, J. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Emergency Department Ischemic Stroke Care Source Type: research

Development and Reliability of a User-Friendly Multicenter Phenotyping Application for Hemorrhagic and Ischemic Stroke
Annotation and Image Markup on ClearCanvas Enriched Stroke –phenotyping Software (ACCESS) is a novel stand-alone computer software application that allows the creation of simple standardized annotations for reporting brain images of all stroke types. We developed the ACCESS application and determined its inter-rater and intra-rater reliability in the Stro ke Investigative Research and Educational Network (SIREN) study to assess its suitability for multicenter studies.
Source: Journal of Stroke and Cerebrovascular Diseases - July 28, 2017 Category: Neurology Authors: Mayowa Owolabi, Godwin Ogbole, Rufus Akinyemi, Kehinde Salaam, Onoja Akpa, Pattanasak Mongkolwat, Adeleye Omisore, Atinuke Agunloye, Richard Efidi, Joseph Odo, Akintomiwa Makanjuola, Albert Akpalu, Fred Sarfo, Lukman Owolabi, Reginald Obiako, Kolawole Wah Source Type: research

Benchmarking Telestroke Proficiency Brief Report
Background and Purpose—Formal telestroke training for neurovascular fellows (NVFs) is necessary because of growing use of telestroke technologies in the management of acute ischemic stroke; yet, educational approaches and training benchmarks are not formalized. Time between telestroke consultant page and tissue-type plasminogen activator administration (page-to-needle time, PTNT) can provide an objective measure of proficiency. We compared PTNT between NVFs and neurovascular attendings (NVAs) and evaluated changes in PTNT with experience.Methods—We identified suspected acute ischemic stroke patients in our telestroke r...
Source: Stroke - August 28, 2017 Category: Neurology Authors: Amanda L. Jagolino-Cole, Shima Bozorgui, Christy M. Ankrom, Arvind B. Bambhroliya, Tiffany D. Cossey, Alyssa D. Trevino, Sean I. Savitz, Tzu-Ching Wu, Farhaan S. Vahidy Tags: Quality and Outcomes, Ischemic Stroke Brief Reports Source Type: research

Functional Trajectories, Cognition, and Subclinical Cerebrovascular Disease Clinical Sciences
Conclusions—PI-SBI moderated the association between cognition and functional trajectories, with 3-fold greater decline among those with PI-SBI (compared with no PI-SBI) and normal baseline cognition. This highlights the strong and independent association between subclinical markers and patient-centered trajectories over time.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Mandip S. Dhamoon, Ying-Kuen Cheung, Jose Gutierrez, Yeseon P. Moon, Ralph L. Sacco, Mitchell S.V. Elkind, Clinton B. Wright Tags: Epidemiology, Magnetic Resonance Imaging (MRI), Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Impact of General Practitioner Transient Ischemic Attack Training on 90-Day Stroke Outcomes: Secondary Analysis of a Cluster Randomized Controlled Trial
Many patients with transient ischemic attack (TIA) receive initial assessments by general practitioners (GPs) who may lack TIA management experience. In a randomized controlled trial (RCT), we showed that electronic decision support for GPs improves patient outcomes and guideline adherence. Some stroke services prefer to improve referrer expertise through TIA/stroke education sessions instead of promoting TIA decision aids or triaging tools. This is a secondary analysis of whether a GP education session influenced TIA management and outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2018 Category: Neurology Authors: Annemarei Ranta, Susan Dovey, John Gommans, Murray Tilyard, Mark Weatherall Source Type: research